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Recruiting NCT05515315

Induction Tislelizumab Combined With Chemotherapy Followed by Definitive Chemoradiotherapy in the Treatment of Locally Unresectable Esophageal Squamous Cell Carcinoma

Phase II Interventional Immunotherapy Esophagus Cancer

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: Tislelizumab, Albumin paclitaxel, Nedaplatin, radiotherapy.
Who it may be relevant to
Registry conditions: Immunotherapy Esophagus Cancer. Basic parameters: 18 years — 70 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
China
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →

Overview

To explore the efficacy of Tislelizumab combined with chemotherapy in the treatment of locally unresectable esophageal squamous cell carcinoma (ESCC)

Interventions

  • Drug Tislelizumab
    Participants will receive Tislelizumab, 200mg, intravenously over 30 - 60 minutes, day 1 of every 3 weeks
  • Drug Albumin paclitaxel
    Participants will receive Albumin paclitaxel 260 mg/m2 , day 1 of every 3 weeks
  • Drug Nedaplatin
    Participants will receive Nedaplatin 80 mg/m2 , day 1 of every 3 weeks
  • Radiation radiotherapy
    50-60Gy/25-30f

Primary outcome measures

  • progression free survival [Time frame: up to 24 months]
Secondary outcome measures (2)
  • Objective Response Rate (ORR) [Time frame: every 6 weeks (up to 24 months)]
  • Overall survival (OS) [Time frame: every 3 months (up to 24 months)]

Eligibility criteria

Inclusion criteria

  • Histologically confirmed localized ESCC that is suitable for cCRT, including: stage II-IVA (AJCC version 8) inoperable ESCC (medically unfit for surgery or refusing surgical intervention);;
  • Aged 18-70, both sexes;
  • ECOG score 0-1
  • The presence of measurable and/or nonmeasurable lesions that met the definition of RECIST1.1;
  • Adequate organ and bone marrow function, meeting the following definitions:
  • Blood routine (no blood transfusion, no granulocyte colony-stimulating factor \[G-CSF\], and no other drugs were used within 14 days before treatment);Absolute neutrophil count (ANC) ≥1.5×109/L;Hemoglobin (HB) ≥9.0 g/dL;Platelet count (PLT) ≥100×109/L;
  • Blood biochemistry Creatinine clearance rate ≥60 mL/min;Total bilirubin (TBIL) ≤ 1.5×ULN;Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) level ≤2.5×ULN;
  • Expected survival time > 6 months;
  • Fertile female subjects and male subjects with partners of reproductive age are required to use a medically approved contraceptive method during the study treatment period and for at least 3 months after the last treatment;
  • Patients who volunteered to participate in this study and signed the informed consent form.

Exclusion criteria

  • A history of fistula caused by primary tumor invasion;
  • Presence of clinically uncontrolled pleural effusion, pericardial effusion, or ascites that required repeated drainage or medical intervention (within 2 weeks before randomization);
  • Known intolerance or resistance to chemotherapy specified in the trial protocol;
  • have received any other ESCC antitumor therapy (e.g., therapy targeting PD-1, PD-L1, PD-L2 or other tumor immunotherapy, radiotherapy, targeted therapy, ablation or other systemic or local antitumor therapy);
  • Patients with active autoimmune disease or a history of autoimmune disease that may relapse, or a known history of allogeneic organ transplantation or allogeneic hematopoietic stem cell transplantation;
  • History of interstitial lung disease, non-infectious pneumonia or uncontrolled systemic diseases, including pulmonary fibrosis and acute lung disease;
  • Severe chronic or active infection (including tuberculosis infection) requiring systemic antimicrobial therapy, antifungal therapy or antiviral therapy before enrollment;
  • Known history of HIV infection;
  • Other malignancies (except cured basal cell carcinoma of the skin, carcinoma in situ of the breast and carcinoma in situ of the cervix) in the past 5 years;
  • Received live vaccine within 28 days before enrollment;
  • while participating in another therapeutic clinical trial.

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation
N/A
Model
Single group
Masking
Open label
Primary purpose
Treatment

Study locations

China · 1 center
  • Ye zai sheng — Fuzhou

Identifiers

NCT: NCT05515315 · TPT-ESCC

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗